Comorbidity in the multiple sclerosis and neuromyelitis optica spectrum disorders population: findings from an underserved, low income country, Zambia.

Journal: Multiple sclerosis and related disorders

Volume: 81

Issue: 

Year of Publication: 2024

Affiliated Institutions:  Djavad Mowafaghian Centre for Brain Health and Faculty of Medicine (Neurology), University of British Columbia, Canada. Department of Medicine, University of Zambia School of Medicine, Lusaka, Zambia. University Teaching Hospital, University of Zambia School of Medicine, Lusaka, Zambia. University Teaching Hospital, University of Zambia School of Medicine, Lusaka, Zambia; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: dcettom@jhmi.edu.

Abstract summary 

Comorbidities are common in multiple sclerosis (MS); little is known in neuromyelitis optica spectrum disorders (NMOSD) or outside high-income regions.Compare comorbidities in MS/NMOSD patients, Zambia.Comorbidities were compared for MS/NMOSD patients from Zambia's University Teaching Hospital using logistic regression.Thirty-three were included (MS/NMOSD:17/16); 22 (67 %) females, mean age=35.6-years. Fifteen (46 %) had any comorbidity [MS/NMOSD:11/4], 14 physical (MS/NMOSD:10/4) and 6 psychiatric comorbidity (MS/NMOSD:5/1). Odds of any/any physical comorbidity was higher in MS versus NMOSD (age-adjusted odds ratio[aOR]=6.9;95 %CI:1.4-34.7,p=0.020/aOR=5.6;95 %:1.1-28.0,p=0.037).Physical comorbidity affected >2-in-5 MS/NMOSD patients and psychiatric disorders ∼1-in-5. Odds of any/any physical comorbidity were >five-fold higher in MS versus NMOSD.

Authors & Co-authors:  Tremlett Helen H Chomba Mashina M Mortel Dominique D Braun Sarah S Chishimba Lorraine L Mutete Frighton F Mwendaweli Naluca N Namangala Coolwe C Zimba Stanley S Saylor Deanna D

Study Outcome 

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Statistics
Citations : 
Authors :  10
Identifiers
Doi : 10.1016/j.msard.2023.105365
SSN : 2211-0356
Study Population
Female
Mesh Terms
Female
Other Terms
Comorbidity;Multiple sclerosis;Neuromyelitis optica spectrum disorders;Underserved/low income regions
Study Design
Study Approach
Country of Study
Zambia
Publication Country
Netherlands